nursing 2400 midterm (part 1) exam with
question and answer 100% correct
never events -centers for medicare and medicaid
-hospitals will not be reimbursed
-i.e. wrong procedure, pressure ulcers
qsen initiatives -patient centered care
-teamwork and collaboration
-evidence based practice
-safety
-education
safety goals in health care setting -reduce incidence of illness and injury
-prevent extended stays
-improve and maintain functional status
-increase patient's sense of well beings
risk factors affecting safety -age
-lifestyle
-sensory and cognitive alterations
-impaired mobility
-lack of safety awareness
-risks in HC agency
-falls
-patient inherent activities
-physical hazards
-accidental poisoning
-fires
-vehicle accidents
-pathogen transmission
nurse interventions to prevent falls -fall risk assessment (upon admission and regular basis)
-modify environment
-review medications
-evaluate gait and balance
-fall prevention plan
restraints -last resort for combativeness or risk of self-injury
-must have physician orders
-check skin integrity and circulation regularly
-alternatives: pressure alarms, distractions, etc
fire safety -RACE
-PASS
poisonings -children are at risk
-call poision control
-do not use syrup of ipecac
, chain of infection -infectious agent > reservoir > portal of exit > mode of
transmission > portal of entry > host
infection -have microbes with signs and symptoms
colonization -have microbes without signs and symptoms
factors affecting risk for infection -age
-nutritional status
-trauma
-stress
-smoking
-chronic illness
body defenses against infection -normal flora
-body system defenses i.e. flushing
-inflammation and exudate
signs and symptoms of inflammation -redness
-warmth
-edema
-pain
infections process -incubation
-prodromal
-illness
-convalescence
healthcare associated infections -risk: multiple illnesses, older adults, poorly
nourished, lowered resistance, number of HC
employees, type and number of invasive procedures,
length of stay
-major sites: wounds, urinary tract, respiratory tract,
bloodstream
-iatrogenic (from procedure), exogenous, endogenous
normal wbc 5000-10000
medical asepsis -clean technique
-reduces number of microbes
-prevents transfer
-used more
surgical asepsis -sterile technique
-prevents contamination
-principles: sterile can only touch sterile, must be in
field of view, no prolonged exposure to air, moisture
is unsterile, 1 inch borders
question and answer 100% correct
never events -centers for medicare and medicaid
-hospitals will not be reimbursed
-i.e. wrong procedure, pressure ulcers
qsen initiatives -patient centered care
-teamwork and collaboration
-evidence based practice
-safety
-education
safety goals in health care setting -reduce incidence of illness and injury
-prevent extended stays
-improve and maintain functional status
-increase patient's sense of well beings
risk factors affecting safety -age
-lifestyle
-sensory and cognitive alterations
-impaired mobility
-lack of safety awareness
-risks in HC agency
-falls
-patient inherent activities
-physical hazards
-accidental poisoning
-fires
-vehicle accidents
-pathogen transmission
nurse interventions to prevent falls -fall risk assessment (upon admission and regular basis)
-modify environment
-review medications
-evaluate gait and balance
-fall prevention plan
restraints -last resort for combativeness or risk of self-injury
-must have physician orders
-check skin integrity and circulation regularly
-alternatives: pressure alarms, distractions, etc
fire safety -RACE
-PASS
poisonings -children are at risk
-call poision control
-do not use syrup of ipecac
, chain of infection -infectious agent > reservoir > portal of exit > mode of
transmission > portal of entry > host
infection -have microbes with signs and symptoms
colonization -have microbes without signs and symptoms
factors affecting risk for infection -age
-nutritional status
-trauma
-stress
-smoking
-chronic illness
body defenses against infection -normal flora
-body system defenses i.e. flushing
-inflammation and exudate
signs and symptoms of inflammation -redness
-warmth
-edema
-pain
infections process -incubation
-prodromal
-illness
-convalescence
healthcare associated infections -risk: multiple illnesses, older adults, poorly
nourished, lowered resistance, number of HC
employees, type and number of invasive procedures,
length of stay
-major sites: wounds, urinary tract, respiratory tract,
bloodstream
-iatrogenic (from procedure), exogenous, endogenous
normal wbc 5000-10000
medical asepsis -clean technique
-reduces number of microbes
-prevents transfer
-used more
surgical asepsis -sterile technique
-prevents contamination
-principles: sterile can only touch sterile, must be in
field of view, no prolonged exposure to air, moisture
is unsterile, 1 inch borders
